| NPI | 1558345215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A DONALIES Business Office/Ar 318-649-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 010703001898) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |